NPI | 1083153449 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835C0205X Pharmacist Critical Care (Licence: CT PCT.0013931) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT.0013931) |
Enumeration Date | 2017-02-17 |
Last Update Date | 2021-07-10 |